• adoption application •

Basic Information:

Applicant Name:

Co-Applicant Name:

Email

Phone:

Secondary Phone:

Address:

City:

State:

Zipcode:

How did you find out about Farfel’s Friends rescue?

Employment (or Schooling) Information:

Applicant Employment -

Employment Status:
Full-timePart-timeStudentRetiredWork from Home

Place of Employment:

Address:

Phone:

Co-Applicant Employment -

Employment Status:
Full-timePart-timeStudentRetired

Place of Employment:

Address:

Phone:

Adoptable Dog Information

What breed(s), gender and age are you interested in?

What characteristics about these dogs are most interesting to you?

What is the youngest dog you would consider adopting?

What is the oldest dog you would consider adopting?

Please list the name(s) of any dogs you are particularly interested in:

If this dog becomes unavailable, are you open to another dog currently in our care?
yesno

Behavior Information:

Please list any traits you are particularly interested in:
kid friendlydog friendlycat friendlyfemale onlymale onlysleeps in dog bedsleeps in your bedcrate trainedoutgoingleash trainedpotty trainedcuddlylonershy/timidenjoys dog parkslikes car rides

Foster dogs with medical challenges still make great pets! Would you be willing to adopt a dog with any of the following?
separation anxietysuffers from seizuresblindarthritisdeafdiabetesamputeerequires medication

What is your preferred temperament?
totally mellowmoderately activeathletic, high energyany

Household & Care Information

How long have you lived at this residence? (years/months)

Do you:
ownrent

Please note, renters must provide a letter from your landlord stating you are able to have the type of pet you are looking to adopt

What kind of fence does your yard have?
No yard / fencechain link4' wood privacy fence6' wood privacy fence
other:

How high is your fence at its lowest point?

Is everyone in your household aware of and on board with your intentions to adopt a dog?
yesno

Please list everyone living in your household - including yourself (name/age/relationship):

Please list any other animals of all breeds and species living on the property and/or in the home (name/age/species/gender/breed(s) - if applicable):

Please list any pets you have owned within the last 5 years and what happened to them: (name/age/species/breed(s)/what happened)

Have all of your pets been around another dog before?
yesno

How do you think your pets will adjust to a new dog in the home? Please explain:

Have you ever adopted a pet from a rescue or shelter before?
yesno

Have you ever surrendered a pet of your own to a shelter or rescue?
yesno

Please explain:

Describe the activities you will participate in that will include your rescued dog:

What circumstances would make you consider surrendering your rescued dog?

Tell us about the routine healthcare you would provide to keep your dog healthy:

Where will your rescued dog stay when you are at work or gone from the home? Please be specific. If it's for more than 4 hours, are you willing to work with a dog walker or go to doggie daycare?

Where will your rescued dog sleep at night?

Are you willing to give a rescued dog 3 months to adjust to you, your family and the environment of the home?
yesno

What will you do if your dog is destructive when left alone?

What is your estimate of the routine yearly expense of owning a dog?

What does this figure include?

How have you educated yourself on the breed(s) you are interested in adopting?

What brand of food will you be feeding your dog? Be specific:

What type of equipment will you use to walk your rescued dog?

Please tell us what you and your home environment have to offer a rescued dog:

Have you ever sold or given away any of your pets?
yesno

Please explain:

Who will be responsible for the primary care and training of your dog? Please explain.

Every dog benefits from a positive training experience. Farfel's requires every dog to attend puppy kindergarten (when appropriate) followed by level 1 obedience training at one of our approved trainers. We are happy to provide a list of approved trainers in your area. We don't support any trainers who use prong or shock collars. PetSmart or PetCo trainers are not part of our suggested list. Where will your new dog attend obedience training?

In case of a medical emergency, who will use as your ER vet?

Who will care for your dog when out of town and/or in case of emergency? (If this person/facility is not listed as a reference please provide name & number.)

References

Please provide one veterinary reference and three personal references whom we may contact. One must be a neighbor, only one can be a family member:

Vet Reference:

Name:

Clinic Name:

Phone:

Email:

Address:

Pets seen at this clinic:

Personal Reference 1:

Name:

Phone:

Email:

Address:

Relationship:

Personal Reference 2:

Name:

Phone:

Email:

Address:

Relationship:

Personal Reference 3:

Name:

Phone:

Email:

Address:

Relationship:

Terms

You must agree to all of the following statements by checking the boxes below to submit this form

I understand that:

If I rent my home, my application will not be reviewed until Farfel’s Farm & Rescue has received a copy of a letter from my landlord faxed to: 303-443-7730, emailed to: farfelsrescue@gmail.com or mailed to: 906 Pearl Street, Boulder, CO 80302.

I must be at least 21 years old to adopt a rescue from Farfel’s Farm & Rescue.

There is often no prior history on our rescued dogs.

We cannot guarantee any breed information. Our interpretation is from information gathered from the shelter, vet opinion and from our prior dog interaction/experience.

That in most cases, our adoptable dogs have had little or no prior training and usually require basic obedience training at minimum.

Reference checks and submission of home photos must be completed prior to final consideration for approval.

We cannot guarantee the temperament of any rescue dog.

We do not guarantee placement of a dog within your home.

I must sign an adoption contract if/when approved.

All medical issues that need to be addressed during the one week foster-to-adopt process must be pre-approved by Farfel’s Farm & Rescue before treatment. Farfel's Farm & Rescue will cover approved treatment only at one of our two approved vets. For out-of-towners, we have a reimbursement policy that is based on rescue pricing of our veterinarian.

I attest all information provided above is true. I promise to care for my rescued dog to the best of my ability with the full intent of keeping the dog for the duration of its life. I also agree to keep a harness and ID tag on the dog when outside of the home, provide quality dog food, adequate shelter, vet care and training as needed.

Volunteer

Are you interested in volunteering with or learning more about Farfel’s Friends Rescue and ways to help? If yes, check all that apply, or add your own ways of helping out!
adoption application reviewadopter research (veterinary / reference checksfundraisinglegalsewing / arts & craftshome checks & home visitstransports / transportationplanning eventsgraphic design & web contentnewsletters & press releasestraininggrant-writingnetworking

Other:

PLEASE NOTE: You must agree to all above statements above by checking all the boxes to activate the submit button.